When faced with bedside emergencies, novice Med-Surg RNs (i.e. Med-Surg RNs with 0-2 years of experience) are often overwhelmed due to a lack knowledge of appropriate interventions and lack confidence in their skills. In the past, our institution provided training in the form of an annual day long workshop consisting of a series of topical didactic lectures. This format proved to be resource intensive due to the need for multiple expert faculty lecturers. Additionally, learner feedback included a request for more hands-on education. We put the workshop on hiatus while we designed a solution to better meet the needs of both learners and faculty.
A “flipped classroom” program was created to increase the nurse’s knowledge and confidence in managing acute clinical decompensations prior to and into cardiac arrest . The flipped classroom allows learners to obtain instructional/educational content online outside of the classroom setting, then synthesize the content through hands-on learning/simulation in a setting with fellow learners and an educator/guide.
To make this important education more accessible to novice nurses, while , we reinvented the course to better meet the needs of the staff and Medical Center as a whole, by:
Creating a curriculum of recorded lectures (via video or voice-over PowerPoint to be delivered online via the medical center’s content management system all recorded (video or voice over PowerPoint) to be completed by learners prior to their live session.
Designing a 4 hour live interactive session as an active, case based hands-on course, utilizing the simulation techniques in Shapiro Simulation Center
Limiting class sizes to 12 learners to allow for maximum hands-on time and educational benefit
Utilizing the flipped classroom model to offer this course quarterly without increasing instructor burden
Our team has conducted six sessions of the updated course since October 2016 with all registered learners successfully completing the pre-simulation online curriculum and the live simulation session.
Learner feedback has been solicited through a written evaluation immediately after the simulation session and a follow-up survey aimed at determining whether attendees feel the course has influenced their practice.
In initial feedback after the session, learners cited increased knowledge of and comfort with recognizing and treating clinical decompensations at the bedside.
“It will make me more confident when emergencies arise.”
“Much better general understanding of how to ‘calmly’ care for patients in several emergent situations.”
Three month follow up data from session one revealed:
100% of participants Strongly Agree that “As a result of attending this program, I am better able to respond to bedside emergencies.”